Neurophysiological subtyping of schizophrenia reveals a reproducible phenotype with temporoparietal circuit disruptions.
Overview
- Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine Shanghai China
- Shanghai Key Laboratory of Mental Disorders Translational Research Brain Health Institute National Center for Mental Disorders Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine and School of Psychology Shanghai China
- Zhejiang Key Laboratory of Drug Addiction & Brain Health, Department of Psychiatry Affiliated Kangning Hospital of Ningbo University (Ningbo Kangning Hospital) Ningbo Zhejiang China
- School of Automation Science and Engineering South China University of Technology Guangzhou Guangdong China
- Shanghai Key Laboratory of Emotions and Affective Disorders Songjiang Hospital and Songjiang Research Institute Shanghai Jiao Tong University School of Medicine Shanghai China
- Department of Psychiatry The Second People's Hospital of Lishui Lishui Zhejiang China
- Department of Brain and Cognitive Sciences and McGovern Institute for Brain Research Massachusetts Institute of Technology Cambridge Massachusetts USA
- Bengbu Medical University Bengbu Anhui China
Abstract
Background: Heterogeneity in schizophrenia (SCZ) remains a major obstacle to the development of effective treatment.
Aims: This study aimed to identify reproducible neurobiological subtypes of SCZ using source‐localised, high‐density resting‐state electroencephalography (EEG) functional connectivity patterns.
Methods: We analysed high‐density resting‐state EEG data from a discovery dataset of 86 patients with SCZ and an independent replication dataset of 89 patients. We applied a sparse k‐means clustering algorithm to power envelope correlations, computed across five frequency bands and two resting conditions in the source space. Subtype stability was rigorously assessed using split‐half validation and cross‐cohort replication.
Results: The analysis consistently identified two reproducible SCZ subtypes. One subtype was characterised by significant temporoparietal disconnection compared with healthy controls, while the second subtype exhibited a relatively preserved functional connectivity pattern. These subtypes were stable within the cohort and successfully replicated in the independent dataset. Crucially, connectivity features significantly predicted symptom severity, but this association was specific to the more disconnected subtype.
Conclusions: Source‐space EEG connectivity enables the identification of robust, reproducible, and mechanistically distinct subtypes of SCZ. These findings highlight underlying neurobiological heterogeneity that is not captured by standard clinical assessments and suggest that these subtypes may provide a basis for future biomarker development and patient stratification studies.
Reproduced under the paper's license (CC BY-NC), from the paper cited above.
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Data availability statement
The data and code that support the findings of this study are available from the corresponding author upon reasonable request.
Reproduced under the paper's license (CC BY-NC), from the paper cited above.
Versions
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Version 1, 27 September 2026: the first record
Recorded: type, language, journal, volume, issue, pages, dates, 8 authors, 6 funders, 43 references.
Cite
This paper
Ding, Y., Li, X., Liu, J., Jin, G., Tian, W., Yuan, T., Wu, W., & Zhou, D. (2026). Neurophysiological subtyping of schizophrenia reveals a reproducible phenotype with temporoparietal circuit disruptions. General psychiatry, 39(5), e70047. https://
BibTeX
@article{ding2026neuroph
author = {Ding, Yue and Li, Xingxing and Liu, Junlin and Jin, Guolin and Tian, Weiwen and Yuan, Tifei and Wu, Wei and Zhou, Dongsheng},
title = {{Neurophysiological subtyping of schizophrenia reveals a reproducible phenotype with temporoparietal circuit disruptions}},
journal = {General psychiatry},
year = {2026},
month = sep,
volume = {39},
number = {5},
pages = {e70047},
publisher = {Shanghai Mental Health Center},
issn = {2517-729X},
doi = {10.1002/
url = {https://
pmid = {42713451},
pmcid = {PMC13552662}
}
RIS
TY - JOUR
AU - Ding, Yue
AU - Li, Xingxing
AU - Liu, Junlin
AU - Jin, Guolin
AU - Tian, Weiwen
AU - Yuan, Tifei
AU - Wu, Wei
AU - Zhou, Dongsheng
TI - Neurophysiological subtyping of schizophrenia reveals a reproducible phenotype with temporoparietal circuit disruptions
T2 - General psychiatry
J2 - Gen Psychiatr
PY - 2026
DA - 2026/
VL - 39
IS - 5
SP - e70047
SN - 2517-729X
PB - Shanghai Mental Health Center
DO - 10.1002/
UR - https://
LA - en
ER -
CSL-JSON
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